Title Page
-
Conducted on
-
Prepared by
-
Location
Details
-
Location
-
Contractor:
-
Person in charge of the site:
-
BRS Staff on-site:
-
Job Ref:
-
Inspected By:
-
Date/Time:
PERSONNEL ON SITE:
-
Is the correct PPE being used where required by task? <br>(i.e. hard hat, safety vest, safety boots, gloves, ear plugs/muffs, dust mask, safety glasses, long-long compliance, respirator, face guards, guards evident on machines)
GENERAL SITE:
-
Are hazards identified, recorded, and addressed on the Job Start?
-
Have all staff & visitors signed the Job Start?
-
Are work instructions on site for work being undertaken?
-
Have all underground services been located?
-
Are current Utility Plans on site?
-
Is the Excavation Permit accurate, complete, current and on site?
-
Are all property agreements and conditions current and onsite?
-
Have plant checks on the Drill Rig and Excavators been done in the last week?
-
Is the Drill Rig earthed correctly?
-
If working at height, are all height safety requirements being met?
-
Is the work site clean and free of clutter?
-
Are tools and equipment being stored safely?
-
Is waste material (rubbish) taken away and stored correctly?
-
Has MBIE (OSH) been notified if the trench is >1.5m deep?
-
Are all fuels and chemicals safely and securely stored?
-
Are the Material Safety Data Sheets on site for all fuels and chemicals?
ENVIRONMENTAL WORK PRACTICES
-
If working near trees, are the correct procedures being followed?
-
Is damage to grass areas and vegetation being minimised?
-
Are any leaks, spills or discharges from the Site being controlled?
-
Have the sediment & erosion control measures been installed in accordance with erosion and sediment control guidelines?
PLANT/EQUIPMENT:
-
Are all WOF/COF/Rego/RUC current?
-
Do all Driver/Operators of plant have the correct Licences & endorsements?
-
Is tie down equipment secure & in good condition?
-
Are Mobile Plant Operators wearing seat belts?
PUBLIC SAFETY:
-
Are Barriers and Fences being used correctly? <br>(e.g. All open holes fully fenced as per guidelines)
-
Are all Barriers and Fences in good condition?<br>(e.g. all mesh secure, no holes)
-
Is the Drill fully fenced with a 1m clearance?
-
Are temporary walkways/paths in place for pedestrians and cyclists?
TRAFFIC CONTROL
-
Is a TMP required and in place?
-
Has the site been set out in accordance with authorised TMP?
-
Are the approved TMP drawings onsite?
-
Is there an accredited STMS responsible for the site?
-
Has a traffic control checklist/audit been completed and recorded on the Job Start?
-
Is there an escape route for the Traffic Controller?
EMERGENCY EQUIPMENT:
-
Is there a suitable 1st Aid Kit present on site?
-
Are Fire Extinguishers present and easily accessible?
-
Is the site able to call for emergency assistance – Fire, Police, Ambulance?
-
Is there a suitable Spill Kit on site?
ELECTRICAL EQUIPMENT:
-
Have all electrical tools and leads been checked and tagged in the last 6 months?
-
Is RCD protection being used where required?
OTHER:
-
OTHER:
-
Corrective Actions: